C10009233 / invoice 10000

Reason: Poss Ear InfectionAppointment Notes: SSHistory: 3 days ago started scratching and irritated by ears, smell Diet: HSC kibble sensitive stomach wet and dry, boiled chicken, bone broth. Vegetable . Was given some salmon recently - dietary allergen?? Other areas ok, not seen to lick Brought in by Emma Examine: 1. BCS:    3 /52. Integument: mild  ventral abdo pinkness 3. Musculoskeletal: nad 4. Teeth: nad 5. Eyes: nad 6. Ears: bnilateral malodourous ears Bilateral inflammation to vertial and hor canal with small amount smelly sebum L>R Laboratory: Yeast only bilaterally > 15/ hpf 7. Lymph Nodes: nad 8. Cardiovascular/Circulatory:   nad  9. Respiratory/Pulmonary:  nad 10. Uro-genital: nad 11. Gastrointestinal: nad ->11a Anal Sacs: not examined 12. Behaviour: 13. Other: Treatment: Cleaned ears with sonotixDermotic 0.6ml bid 7- 10 days Diagnosis: Malaesszzial otitis Possible food allergy - test out reaction to salmonPlan:R/c ears in 7 - 10 days before stopping meds. Discuss underlying allergies Reminders  Updated: YES/NO    Vital Signs    Weight: 7;